Individual
DR. GARY BLYLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431-0001
(253) 967-5271
Mailing address
9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D-4574
ID
Other
Enumeration date
07/30/2014
Last updated
08/22/2025
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